Individual provider Active NPI

Eric Tavis Sevensma, D.O.

  • Surgery Physician
  • Morganton, NC
National Provider Identifier
1346465143
Registry record updated Sep 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
2018-00146 Issued in NC
Practice address
2209 S Sterling St Ste 600
Morganton, NC 28655-4092
Phone
(828) 580-2250
Fax
(828) 580-2252
NPI assigned
Apr 16, 2007
Last updated
Sep 27, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 2018-00146 NC Primary

Addresses

Primary practice location

2209 S Sterling St Ste 600
Morganton, NC 28655-4092

Mailing address

2209 S Sterling St Ste 600
Morganton, NC 28655-4092
Phone (828) 580-2250

Other practice location 1

730 Malcolm Blvd Ste 100
Connelly Springs, NC 28612-8079
Phone (828) 580-2250

Other practice location 2

2293 Sugar Hill Rd Ste A
Marion, NC 28752
Phone (828) 652-8727

Other identifiers 1

IdentifierTypeStateIssuer
1346465143MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180718003538 NC Practitioner - General Surgery 1355416421 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Michigan State University College of Osteopathic Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2209 S Sterling St
Suite 600
Morganton, NC 28655-4092
Phone (828) 580-4577

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)14
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Healthcare Medical Group, Inc. Surgery CurrentSince Jun 1, 2018 Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. Current Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. CurrentSince Jun 1, 2018 Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. Past Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. Past Accepting new patients

Locations

2293 Sugar Hill Rd
Ste A
Marion, NC 28752
Phone (828) 580-1364

2201 S Sterling St
Morganton, NC 28655
Phone (828) 580-6393

2209 S Sterling St
Ste 530
Morganton, NC 28655
Phone (828) 580-4230

2209 S Sterling St
Ste 600
Morganton, NC 28655
Phone (828) 580-4577

Interoperability endpoints

  • Direct secure messaging: esevensma536018@direct.unc.nchie.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538006400000",
    "number": "1346465143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 S STERLING ST STE 600",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286554092",
            "telephone_number": "828-580-2250",
            "fax_number": "828-580-2252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2209 S STERLING ST STE 600",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286554092",
            "telephone_number": "828-580-2250",
            "fax_number": "828-580-2252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "730 Malcolm Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Connelly Springs",
            "state": "NC",
            "postal_code": "286128079",
            "country_code": "US",
            "telephone_number": "828-580-2250",
            "fax_number": "828-580-2252",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2293 Sugar Hill Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "NC",
            "postal_code": "28752",
            "country_code": "US",
            "telephone_number": "828-652-8727",
            "fax_number": "828-559-2019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEVENSMA",
        "first_name": "ERIC",
        "middle_name": "TAVIS",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-16",
        "last_updated": "2018-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "2018-00146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346465143",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morganton, NC

Sources for this page

Verify at the official NPI Registry.